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Related Experiment Videos

Treatment approaches for pathological gamblers

V C López Viets1, W R Miller

  • 1Department of Psychology, University of New Mexico, Albuquerque 87131-1161, USA.

Clinical Psychology Review
|December 16, 1997
PubMed
Summary
This summary is machine-generated.

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Effective treatments for pathological gambling exist, particularly behavioral and cognitive therapies. Further research is needed for other methods like pharmacotherapy and 12-step programs.

Area of Science:

  • Psychology
  • Psychiatry
  • Behavioral Science

Background:

  • Pathological gambling is a recognized disorder with various treatment modalities.
  • Existing literature explores diverse therapeutic approaches, including psychodynamic, behavioral, cognitive, and pharmacotherapeutic interventions.

Purpose of the Study:

  • To review and synthesize outcome literature on the treatment of pathological gambling.
  • To evaluate the efficacy of different treatment approaches based on available research.
  • To identify gaps in the literature and suggest directions for future research.

Main Methods:

  • Systematic review of outcome literature.
  • Analysis of studies encompassing psychodynamic, behavioral, cognitive, cognitive-behavioral, multimodal, pharmacotherapeutic, and 12-step approaches.

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  • Assessment of research quality, including controlled and uncontrolled trials.

    • Main Results:

    • Behavioral, cognitive, and cognitive-behavioral therapies show strong evidence of efficacy from controlled and uncontrolled trials.
    • Psychodynamic and 12-step approaches lack properly controlled research.
    • Pharmacotherapies require further validation with larger sample sizes.
    • Multimodal treatments are often studied in inpatient settings, complicating the assessment of individual components.

    Conclusions:

    • Pathological gambling is a treatable condition with highly successful outcomes, particularly with cognitive-behavioral interventions.
    • Further rigorous research is essential to establish the efficacy of pharmacotherapies and refine other treatment modalities.
    • Evidence supports the effectiveness of behavioral and cognitive therapies for pathological gambling treatment.